In a 2010 letter [pdf] signed by Paul Ryan and obtained The Nation through a Freedom of Information Act request, the GOP's VP nominee — a major opponent of President Obama's healthcare reform — asked the U.S. Department of Health and Human Services to use Affordable Care Act dollars to fund a new health center in his district.

"The proposed new facility," Ryan wrote in his recommendation letter, "will serve both the preventative and comprehensive primary healthcare needs of thousands of new patients of all ages who are currently without healthcare."